Individual provider Active NPI

Audrey Lynn Hollman

  • Family Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1841010683
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71015903A Issued in IN
Practice address
2516 Waterbridge Way
Evansville, IN 47710-3200
Phone
(812) 491-9000
NPI assigned
Oct 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71015903A IN Primary

Addresses

Primary practice location

2516 Waterbridge Way
Evansville, IN 47710-3200

Mailing address

638 S Runnymeade Ave
Evansville, IN 47714-2006
Phone (812) 483-8715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002822 IN Practitioner - Nurse Practitioner 8224563804 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Care Family Practice Rick Bobay LLCGroup PAC ID 5991844631, 79 clinicians

Practice addresses (Care Compare)

2516 Waterbridge Way
Evansville, IN 47710-3200
Phone (812) 491-9000

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71015903AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Oct 14, 2024 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Dec 21, 2024 Accepting new patients
Sound Physicians of Indiana, LLC CurrentSince Dec 21, 2024 Accepting new patients
Total Care Family Practice Rick Bobay LLC Family CurrentSince Oct 14, 2024 Accepting new patients
Transitions Health Network LLC Family Past Accepting new patients

Locations

2516 Waterbridge Way
Evansville, IN 47710
Phone (812) 491-9000

1701 Spring St
Ste B
Jeffersonvlle, IN 47130
Phone (812) 284-2272

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1841010683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S RUNNYMEADE AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477142006",
            "telephone_number": "812-483-8715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 WATERBRIDGE WAY",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477103200",
            "telephone_number": "812-491-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71015903A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.